2021
DOI: 10.3389/fnagi.2021.700280
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Mechanistic Analysis of Age-Related Clinical Manifestations in Down Syndrome

Abstract: Down syndrome (DS) is the most common genetic cause of Alzheimer’s disease (AD) due to trisomy for all or part of human chromosome 21 (Hsa21). It is also associated with other phenotypes including distinctive facial features, cardiac defects, growth delay, intellectual disability, immune system abnormalities, and hearing loss. All adults with DS demonstrate AD-like brain pathology, including amyloid plaques and neurofibrillary tangles, by age 40 and dementia typically by age 60. There is compelling evidence th… Show more

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Cited by 16 publications
(13 citation statements)
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“…As one of the critical risk factors for early-onset Alzheimer’s disease (AD), trisomy 21 not only increases amyloid precursor protein ( APP ) gene dosage but also promotes the amyloidogenic pathway in the AD human brain by altering APP processing ( 1 3 ) and amyloid plaque deposition in the AD mouse brain ( 4 ). In addition to APP and BACE2, it remains to be determined whether other genes on chromosome 21 also contribute to AD pathology in DS ( 5 ) and the underlying molecular mechanisms.…”
Section: Introductionmentioning
confidence: 99%
“…As one of the critical risk factors for early-onset Alzheimer’s disease (AD), trisomy 21 not only increases amyloid precursor protein ( APP ) gene dosage but also promotes the amyloidogenic pathway in the AD human brain by altering APP processing ( 1 3 ) and amyloid plaque deposition in the AD mouse brain ( 4 ). In addition to APP and BACE2, it remains to be determined whether other genes on chromosome 21 also contribute to AD pathology in DS ( 5 ) and the underlying molecular mechanisms.…”
Section: Introductionmentioning
confidence: 99%
“…There are multiple factors that may contribute to the severity of the disease in Down syndrome. These include anatomical defects in the respiratory tract (e.g., airway malacia, smaller trachea) that cause obstructive sleep apnea [ 43 , 44 ], congenital heart defects that result in cardiopulmonary dysfunction and pulmonary hypertension [ 45 , 46 ], dysregulation of innate and adaptive immunity that leads to inflammatory and autoimmune responses [ 4 ], and premature aging that may lead to Alzheimer disease and immunosenescence [ 2 , 47 ]. Consistent with this interpretation, our data show that Dp16;ACE2 mice exhibited more severe clinical symptoms and lung histopathology than ACE2 mice following SARS-CoV-2 infection ( Figure 1 and Figure 3 ).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, advanced maternal age at conception (over 35 years) is associated with a type of congenital malformation [9] There is phenotype variability for all chromosomal abnormalities [13]. Several authors have emphasized that the phenotypic variability of Down's syndrome concerns many clinical signs of the disease, namely the importance of intellectual retardation, the inconstant presence of cardiopathy, or of a single transverse palmar crease, very early in the course of the development [15].…”
Section: Discussionmentioning
confidence: 99%